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Emergency department palliative care pathway evaluation
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Boyle, Susan J.. Emergency department palliative care pathway evaluation. Retrieved from https://doi.org/doi:10.7282/t3-x9f3-g256

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TitleEmergency department palliative care pathway evaluation
NameBoyle, Susan J. (author); Barberio, Judith (chair); McKie, Gillian (outside member); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-01 (degree)
SubjectPalliative care, Emergency department, Healthcare utilization, Outcomes evaluation, Re-Aim framework, Post-Master's DNP Practice
Extent1 online resource (81 pages) : illustrations
DescriptionPurpose: To evaluate the outcomes of an emergency department (ED) based palliative care program, with respect to its impact on healthcare utilization.

Methodology: A retrospective chart review utilizing the Re-Aim framework was conducted to evaluate the outcomes of a palliative care (PC) program initiated in the emergency department of a tertiary academic healthcare center in the northeastern United States. This pilot study reviewed the charts of 100 patients with a life-limiting serious illness and compared the outcomes of patients who received a PC referral in the ED (n=50) versus a similar number (n=50) who did not receive a PC referral in the ED. The outcomes examined included hospital length of stay (LOS), critical care LOS, number of specialty consults, number of advanced procedures (arterial line, central line, intubation, cardiopulmonary resuscitation), referral to hospice and 30-day readmissions.

Results: Patients with a life-limiting diagnosis who received a referral to PC in the ED had significantly lower healthcare utilization rates, increased change in code status, increased time on the palliative care floor and increased referral to hospice than the control group (p < .05).

Implications for practice: This outcomes evaluation shows the impact of an ED-based PC program, supports the current nurse-driven ED initiative, and forms the basis for future program improvements.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-x9f3-g256
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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